Form Mvr 27St PDF Details

In the heart of efforts to protect and preserve marine life, the North Carolina Division of Motor Vehicles offers a unique opportunity for residents to contribute directly through the MVR-27ST application form. This special form, last revised in December 2003, is designed for those looking to acquire the "Save the Sea Turtles" license plate, blending vehicular identification with conservation efforts. By submitting this application along with a designated fee—$20 for a regular plate or $50 for a personalized one, applicants can proudly display their support for sea turtle conservation on their vehicles. Notably, the additional fee is an annual commitment on top of the standard license fee, marking a continuous investment in the cause. Applicants have the option to personalize their plate with a four-character message, offering a unique touch to their contribution. The form requires detailed information regarding the applicant's vehicle and proof of financial responsibility, ensuring that all legal prerequisites are met. This initiative not only raises funds but also awareness for the conservation of these magnificent marine creatures, making it a noble cause supported by the state of North Carolina.

QuestionAnswer
Form NameForm Mvr 27St
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesCERTIFY, Certification, Personalized, MVR-27ST

Form Preview Example

MVR-27ST

 

(Rev. 12/03)

North Carolina Division of Motor Vehicles

 

3155 Mail Service Center

 

Raleigh, North Carolina 27699-3155

APPLICATION FOR A SAVE THE SEA TURTLES LICENSE PLATE

Remit a $20.00/$50.00 check or money order with this application.

qRegular Save The Sea Turtles $20.00 q Personalized Save The Sea Turtles $50.00

NOTE: You are allowed four (4) spaces for a personalized message. ___ ___ ___ ___ S

T

The $20.00/$50.00 special fee is an (ANNUAL) fee due in addition to the regular license fee.

 

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NAME (To agree with certificate of title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

 

MIDDLE

 

LAST

 

 

 

 

 

 

 

 

 

 

 

 

 

AREA CODE–TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

Office

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current North Carolina

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AREA CODE–TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLATE NUMBER

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER LICENSE #

 

 

YEAR

MODEL

MAKE

BODY STYLE

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner's Certification of Liability Insurance

I CERTIFY FOR THE MOTOR VEHICLE DESCRIBED ABOVE THAT I HAVE FINANCIAL RESPONSIBILITY AS REQUIRED BY LAW.

PRINT OR TYPE FULL NAME OF INSURANCE COMPANY AUTHORIZED IN N.C. – NOT AGENCY OR GROUP

POLICY NUMBER – IF POLICY NOT ISSUED, NAME OF AGENCY BINDING COVERAGE

SIGNATURE OF OWNER

DATE OF CERTIFICATION